Individual provider Active NPI

Frederick Ryan Prall, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Carmel, IN
National Provider Identifier
1740375534
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
01062190A Issued in IN
Practice address
12794 Hamilton Crossing Blvd
Carmel, IN 46032-5422
Phone
(317) 571-1501
Fax
(317) 571-4806
NPI assigned
Oct 4, 2006
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 01062190A IN
Retina Specialist (Ophthalmology) Physician 207WX0107X 01062190A IN Primary

Addresses

Primary practice location

12794 Hamilton Crossing Blvd
Carmel, IN 46032-5422

Mailing address

10585 N Meridian St Ste 100
Carmel, IN 46290-1066
Phone (317) 571-1501

Other practice location 1

2929 S McIntire Dr
Bloomington, IN 47403-4209
Phone (317) 571-1501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmoorthy@avruc.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000597 IN Practitioner - Ophthalmology 1850448689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Vitreoretinal and Uveitis Consultants LLCGroup PAC ID 1557316205, 7 clinicians

Practice addresses (Care Compare)

2929 S McIntire Dr
Bloomington, IN 47403-4209
Phone (317) 571-1501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105934CAMDMarriage & Family Therapist
01062190AINMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Vitreoretinal & Uveitis Consultants LLC Retina Specialist CurrentSince Aug 15, 2015 Accepting new patients
Major Hospital Retina Specialist Past Accepting new patients

Locations

2929 S McIntire Dr
Bloomington, IN 47403
Phone (317) 571-1501

10585 N Meridian St
Carmel, IN 46290

10585 N Meridian St
Ste 100
Carmel, IN 46290
Phone (317) 571-1501

12794 Hamilton Crossing Blvd
Carmel, IN 46032
Phone (317) 571-1501

8704 N Meridian St
Indianapolis, IN 46260
Phone (317) 571-1501

Interoperability endpoints

  • Direct secure messaging: rmoorthy@avruc.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1740375534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 N MERIDIAN ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901066",
            "telephone_number": "317-571-1501",
            "fax_number": "317-571-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12794 HAMILTON CROSSING BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325422",
            "telephone_number": "317-571-1501",
            "fax_number": "317-571-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 S McIntire Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474034209",
            "country_code": "US",
            "telephone_number": "317-571-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRALL",
        "first_name": "FREDERICK",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "IN",
            "license": "01062190A",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IN",
            "license": "01062190A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoorthy@avruc.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message",
            "address_1": "12794 Hamilton Crossing Blvd",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460325422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.